Provider Demographics
NPI:1902198260
Name:LMRAD CO
Entity Type:Organization
Organization Name:LMRAD CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-266-2676
Mailing Address - Street 1:PO BOX 795
Mailing Address - Street 2:
Mailing Address - City:WEST ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720
Mailing Address - Country:US
Mailing Address - Phone:978-266-2676
Mailing Address - Fax:
Practice Address - Street 1:70 EAST STREET
Practice Address - Street 2:RADIOLOGY DEPT -HOLY FAMILY HOSPITAL
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844
Practice Address - Country:US
Practice Address - Phone:978-266-2676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:L&M RADIOLOGY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty